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Vermont rates for HCPCS 80175

Lamotrigine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.02 / $21.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $169.82 / $229.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $190.55 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $15.14 / $20.89
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $4.68 / $4.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $10.96 / $36.31